Universa Medicina
Vol. 32 No. 1 (2013)

Common mental disorders increase pre-eclampsia/ eclampsia risks in pregnancy

Y Wibowo (Department of Public Health and Community Medicine, Medical Faculty, Jenderal Soedirman University)
M Hakimi (Department of Obstetrics and Gynecology, Faculty of Medicine, Gadjah Mada University)
CR Marchira (Department of Psychiatry, Faculty of Medicine, Gadjah Mada University)



Article Info

Publish Date
14 Apr 2013

Abstract

INTRODUCTION Pre-eclampsia is a multisystem complication that occurs after 20 weeks of pregnancy and can cause considerable maternal and fetal morbidity and mortality. Mental health is influenced by social support, and emotional distress during pregnancy may cause pre-ecclampsia/ecclampsia (PE/E). The objective of this study was to determine the association of social support and common mental disorders (CMD) with PE/E in pregnant women. METHODS This study was a matched case-control study. Cases were pregnant women who had been diagnosed with PE/E. Controls were those with normal pregnancies or not diagnosed as PE/E. Instruments social support questionnaire-6 (SSQ-6) was used to measure social support and self-reporting questionnaire 20 (SRQ-20) items for measuring CMD. Conditional logistic regression was used to estimate matched odds ratios (ORs) and 95% confidence intervals (95% CI). RESULTS Low social support was not directly associated with PE/E. Compared with women with high social support, those with low social support had a 26-fold increased risk of CMD (+) (OR=26.4, 95% CI: 10.67 to 77.20, p=0.001). Several variables significantly associated with PE/E were CMD (+) (OR=6.11, 95% CI: 2.99 to 14.07, p=0.001), low family income (OR=2.93, 95% CI: 1.56 to 5.82, p=0.001), history of chronic hypertension (+) (OR=7.67, 95% CI: 2.32 to 39.89, p=0.001), history of PE/E (+) (p=0.001), and history of hereditary PE/E (+) (OR=6, 95% CI: 1.34 to 55.20, p=0.013). CONCLUSION Low social support was not directly associated with PE/E but was associated with CMD. To prevent CMD in pregnant women, there is a need for social support from the family.

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Journal Info

Abbrev

medicina

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Description

Universa Medicina (univ.med) is a four-monthly medical journal that publishes new research findings on a wide variety of topics of importance to biomedical science and clinical practice. Universa Medicina Online contains both the current issue and an online archive that can be accessed through ...